Epidemiology of eating disorders in Africa

Hoeken, Daphne van; Burns, Jonathan K.; Hoek, Hans W.

doi:10.1097/yco.0000000000000274

Cited by 56 publications

(51 citation statements)

References 35 publications

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“…Moreover, the second meta-analysis also showed the existence of a similar relation between emotional regulation and anorexia [80]. The lack of significant differences between Polish and Japanese women in the level of intensity of Body Dissatisfaction and Drive for Thinness demonstrated in this article can confirm the results of studies conducted by other authors, which indicate a universal and similar intensity of risk factors for the development of eating disorders in countries influenced by Western culture [1,3,8,11,81].…”

Section: Similarities and Differences Between Polish And Japanese Womensupporting

confidence: 85%

“…Analysis of the source literature confirms the continual increase of the number of people suffering from eating disorders worldwide [1,2]. Epidemiological data confirm the increasing importance of the problem in European countries [3,4], including Poland [5,6], the United States of America [7], Latin America [8], Arab countries [9,10], Africa [11], and Asia [12][13][14][15][16], with the risk of development of eating disorders being especially high in Japan [17]. The Global Burden of Disease (GBD) study from 2015 [18] confirmed the steady increase of eating disorders in women all around the world [19].…”

Section: Epidemiology Of Eating Disordersmentioning

confidence: 70%

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Body Dissatisfaction, Restrictive, and Bulimic Behaviours among Young Women: A Polish–Japanese Comparison

Izydorczyk

Ha²,

Lizińczyk

et al. 2020

Nutrients

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The growing number of women, who are characterized by restrictive and bulimic behaviours towards their own body is observed especially in countries influenced by Westernalization. However, there is a lack of cross-cultural studies in this area. The main aim of the present study was to examine the psychological and socio-cultural risk factors for eating disorders in Polish and Japanese women. A cross-sectional research study was conducted among 18-to 29-year old Polish (n = 89) and Japanese (n = 97) women. The variables were measured using the Sociocultural Attitudes Towards Appearance Scale SATAQ-3, and the Eating Disorders Inventory EDI-3. The descriptive and comparative statistics, Spearman's rho, and the stepwise regression analysis were used. The global internalization of socio-cultural standards of body image proved to be a significant predictor of Body Dissatisfaction among Polish and Japanese women. The main analysis showed a significant relation between the Drive for Thinness and Interoceptive Deficits in the group of Japanese women, as well as a correlation between Drive for Thinness and Asceticism in the group of Polish women. The obtained results could improve the prevention aimed the dysfunctional eating behaviours. However, the cultural nuances need to be considered in understanding the risk factors for eating disorders.

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Section: Similarities and Differences Between Polish And Japanese Womensupporting

confidence: 85%

Section: Epidemiology Of Eating Disordersmentioning

confidence: 70%

Body Dissatisfaction, Restrictive, and Bulimic Behaviours among Young Women: A Polish–Japanese Comparison

Izydorczyk

Ha²,

Lizińczyk

et al. 2020

Nutrients

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“…This is in line with warnings that ED such as AN exist in SSA (as seen in case studies) and their relevance in this context should not be underestimated . Point prevalence of BN in young African women has been estimated to be 0.87%, which is within the range reported for young women in HIC and Latin America . The diagnosis of BED is acknowledged as a distinct eating disorder for the first time in DSM‐5 and we are unaware of any estimates of BED in SSA.…”

Section: Introductionsupporting

confidence: 74%

Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso

Terhoeven

Nikendei

Bärnighausen

et al. 2020

Tropical Med Int Health

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objective Body dissatisfaction and eating disorders (ED) among young females may increase in limited-resource settings as exposure to media and higher-resource cultures increases. We examined ED prevalence and its predictors among adolescent girls in rural north-western Burkina Faso.methods Fieldworkers interviewed 696 female adolescents aged 12-20 years in the Nouna Health and Demographic Surveillance System (HDSS). ED were evaluated using the Structured Clinical Interview for DSM-5 (SCID-5), self-perceived appearance and body ideal were measured using Thompson and Gray's Contour Drawing Rating Scale (CDRS) and eating disorder predictors by the Eating Disorder Examination Questionnaire (EDE-Q). We assessed media exposure to magazines, radio, television, and the internet.results 16% of respondents had a BMI below WHO age-standardised 5th percentile, while 4% were above the 85th percentile; most respondents wanted to be larger. DSM-5 criteria for anorexia nervosa (AN) were fulfilled by four of 696 respondents (0.6%), those for bulimia nervosa by none, and those for binge eating disorder by two (0.3%). In multivariable regression, more AN symptoms were associated with greater EDE-Q body dissatisfaction, desiring a thinner body and a history of sexual harassment or assault, but not with media exposure. A thinner desired body was associated with greater media exposure, higher BMI z-score and greater EDE-Q disordered eating.conclusion ED were very rare in rural Burkinab e female adolescents, but factors predictive of ED in higher-resource settings were also predictive of ED precursor symptoms here. Our findings suggest that increasing media exposure in resource-limited settings may lead to increased body dissatisfaction, and potentially to increased future ED prevalence.keywords anorexia nervosa, bulimia nervosa, binge eating disorder, body dissatisfaction, West Africa Sustainable Development Goals (SDGs): SDG 2 (zero hunger), SDG 3 (good health and well-being), SDG 17 (partnerships for the goals) † Valentin Terhoeven and Christoph Nikendei contributed equally 132

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“…That the effect carries over to the children of immigrant families suggests that sociocultural factors likely contribute to the decreased risk. Such factors could include greater acceptance of larger body sizes or social support within the immigrant communities . Our results suggest that assimilation to the receiving countries increases the risk for eating disorders so that it starts approaching that of the native populations.…”

Section: Discussionmentioning

confidence: 73%

“…They are no longer considered to be limited to Western culture, but are tied to economic development, urbanization, and industrialization . Despite reports of rising incidences particularly in Asia , eating disorders still appear rare in many low‐ and middle‐income countries . As the majority of immigration to Denmark and Sweden was from less developed countries, a low base rate of eating disorders in the countries of origin is one plausible explanation for the low rates among immigrants.…”

Section: Discussionmentioning

confidence: 99%